Mikutis, Jeffrey L

Mikutis, Jeffrey L is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, which is considered as his primary health care specialty. Mikutis, Jeffrey L can be contacted via phone (937) 641-4000.

Contact Information

Primary practice address
1 Childrens Plz Dayton OH 45404-1815
Phone: (937) 641-4000
Fax: (937) 641-4500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 34.005638 Ohio

Profile Details

NPI number 1720028863
LBN Legal business name Mikutis, Jeffrey L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Oct 19th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720028863 NPPES
Ohio Other 05279 PARAMOUNT
Ohio MEDICAID 200533320 PARAMOUNT
Ohio MEDICAID 0917664 PARAMOUNT
Ohio Other 326196 PARAMOUNT
Ohio MEDICAID 64117427 PARAMOUNT
Ohio Other 0917664 PARAMOUNT
Ohio Other 200567 PARAMOUNT
Ohio Other 4329917 PARAMOUNT
Ohio Other 311676182027 PARAMOUNT
Ohio Other 326196 PARAMOUNT
Ohio Other 738694 PARAMOUNT
Ohio Other 278476 PARAMOUNT

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